Organization
E.M. JELLINEK CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN D LEWIS (EXECUTIVE DIRECTOR)
(865) 525-4627
Entity
Organization
Contact information
Practice address
130 HINTON AVE, KNOXVILLE, TN 37917-6417
(865) 525-4627
(865) 522-5368
Mailing address
130 HINTON AVE, KNOXVILLE, TN 37917-6417
(865) 525-4627
(865) 522-5368
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
L000000011367
TN
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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